Authors :
Lic. Yefran Antonio Rivas
Volume/Issue :
Volume 11 - 2026, Issue 4 - April
Google Scholar :
https://tinyurl.com/4uytz6sk
Scribd :
https://tinyurl.com/3txcbk4c
DOI :
https://doi.org/10.38124/ijisrt/26apr079
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Emergency departments are currently facing a sustained increase in demand for care, which is placing significant
pressure on their capacity to provide optimal and efficient care. In this context, the turnaround time of the clinical laboratory
is of key importance, given that a considerable proportion of diagnostic and therapeutic decisions depend on the availability
of analytical results. Consequently, delays in issuing these results can contribute to prolonged hospital stays and
inefficiencies in the operation of emergency departments. From this perspective, the present analysis aimed to explore and
understand the factors that influence delays in emergency department care, with particular emphasis on clinical laboratory
processes. The review was conducted following the PRIMA 2020 guidelines, using a structured search of scientific literature
published between 2007 and 2026 in databases such as PubMed, SciELO, and Elsevier. After the selection and evaluation
process, 26 studies were included for qualitative analysis. The results highlight the central role of clinical laboratory services
in the patient flow within emergency departments. Prolonged turnaround times are consistently associated with longer
hospital stays and reduced operational efficiency. Furthermore, factors related to the pre-analytical phase and the overuse
of diagnostic tests were identified as contributing to laboratory delays. These findings underscore the need to optimize
laboratory workflows and strengthen coordination with emergency services to improve the timeliness and quality of care
provided.
Keywords :
Emergency Care Delay, Clinical Laboratory, Pre-Analytical Phase, Response Time, Quality of Care.
References :
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Emergency departments are currently facing a sustained increase in demand for care, which is placing significant
pressure on their capacity to provide optimal and efficient care. In this context, the turnaround time of the clinical laboratory
is of key importance, given that a considerable proportion of diagnostic and therapeutic decisions depend on the availability
of analytical results. Consequently, delays in issuing these results can contribute to prolonged hospital stays and
inefficiencies in the operation of emergency departments. From this perspective, the present analysis aimed to explore and
understand the factors that influence delays in emergency department care, with particular emphasis on clinical laboratory
processes. The review was conducted following the PRIMA 2020 guidelines, using a structured search of scientific literature
published between 2007 and 2026 in databases such as PubMed, SciELO, and Elsevier. After the selection and evaluation
process, 26 studies were included for qualitative analysis. The results highlight the central role of clinical laboratory services
in the patient flow within emergency departments. Prolonged turnaround times are consistently associated with longer
hospital stays and reduced operational efficiency. Furthermore, factors related to the pre-analytical phase and the overuse
of diagnostic tests were identified as contributing to laboratory delays. These findings underscore the need to optimize
laboratory workflows and strengthen coordination with emergency services to improve the timeliness and quality of care
provided.
Keywords :
Emergency Care Delay, Clinical Laboratory, Pre-Analytical Phase, Response Time, Quality of Care.